Rate Us

Have you recently visited one of our Eye Health Centres locations? If so, we'd like to hear about your experience. You can give us your feedback using the form below.

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Name (Optional):

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*Date of Visit:

Day 12345678910111213141516171819202122232425262728293031 Month JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year 201220112010

*Doctor Visited:

Please Select Doctor Dr. Diana MoneaDr. Jerome LoewenDr. Michelle VickersDr. Tracey MathewDr. Shelly TanejaOther

*Location Visited:

Please Select Location Calgary NW - KensingtonCalgary SW - ShawneeRegina - Lakewood

*How did you find out about us?

Location Personal Referal Newspaper Telephone Book Website Other Other:

What keeps you coming back?

What would cause you to leave?

Any staff member worth special mention? Why?

*Please rate our overall service:

5 - Best 4 3 - Acceptable 2 1 - Worst

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